With ammonia levels that high I would recommend doing the water change with the meds added to the the new water.
My male platy has done the same as Richard more than once. There have been many nights I thought he wouldn't make it. He never showed any signs of illness over than lethargy. He would actually stand on his nose at the bottom of the tank. As soon as I was certain he was dead, I would try to net him and he would take off light a bolt of lightning. He would be fine for a couple of days and then do it again. I don't know what was wrong with him. He is doing really well since I moved him to the 75 gallon brackish tank.
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